UPI (Provider ID): 10116
Change Report (if Any):

Short Name: CATH SOC-LORA

Long Name 1: CATHOLIC CHARITIES SERVICES
Long Name 2: LORAIN COUNTY PROGRAM

Address 1: 628 POPLAR STREET
Address 2:

City: ELYRIA
Zip Code: 44035
County: LORA

Contact: JACK CAMERON
Title: EXDIR
Phone: 4403661106
FAX: 4403665645

Vendor: 10092

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 14JUL2016